11D2101458 CLIA NUMBER - BARNEY'SPHARMACY-GROVETOWN

Laboratory Demographics

CLIA Number: 11D2101458

Facility Name: BARNEY'SPHARMACY-GROVETOWN

Facility Address:
5135 WRIGHTSBORO RD
GROVETOWN, GA
ZIP 30813
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Facility Phone Number: 706 869-8535

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1679861454

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	11D2101458
LAB Type	Pharmacy
Facility Name	BARNEY'SPHARMACY-GROVETOWN
Street	5135 WRIGHTSBORO RD
City	GROVETOWN
State	GA
ZIP	30813
Phone	706 869-8535
CertificateType	4
CertificateEffectiveDate	9/2/2023
CertificateExpirationDate	9/1/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024